T3110 - Medical and Pharmacy Claims Reviewer, Data Management and Technical Services

Provide pharmacy claims reviewer and technical services. Timely and accurate healthcare claims processing is critical to the continued fiscal integrity of the shbp/sehbp. The administration of healthcare claims is complex, and payment inaccuracies can and do occur for many reasons. Pharmacy claims reviewer and technical services. A. All reporting of work completed must be submitted to the scm for review and approval. It will be the scm,s sole determination as to whether any tasks have been successfully completed and are acceptable.